At Hospital XYZ, staff members on Y3 have dealt with the third head nurse in three years. Donna, the current head nurse, lacks confidence in patient-nurse relationships, and scheduling and other processes are routinely left to the last minute
Staff members approached Donna first and then administration with their concerns about Donna's effectiveness as a leader. The staff was told that the problem is likely staff related, that it is simply an unhappy group, and that there is nothing that will be done further about their concerns. The philosophy of the organization indicates that "open, transparent communication between staff and management is desired and supported," and that "innovation and creative thinking are the foundation of the organization's progress." In assessing this situation as a newly hired senior executive, you anticipate that:
a. Staff members will resolve the conflict on their own.
b. The situation will lead to ongoing disgruntlement and attrition.
c. No further discussion or concerns will come out of the situation.
d. The head nurse will be able to resolve the conflict on her own.
ANS: B
Lack of congruence between the stated philosophy of the hospital and the experienced organizational culture does not support either the staff or the head nurse and likely will result in ongoing frustration, confusion, and morale, which could result in increased attrition.
You might also like to view...
The nurse is reviewing the immunization record for a client who just learned she is pregnant. Which vaccine is not safe to give during pregnancy?
A) Pertussis B) Annual influenza C) Rubella D) Tetanus
The patient was placed in a long arm cast after fracturing her humerus. Twelve hours after the application of the cast, the patient tells the nurse that her arm hurts. Analgesics do not relieve the pain
What would be the most appropriate nursing action? A) Preparing the patient for cast removal or bivalving of the cast B) Obtaining an order for a different pain medication C) Encouraging the patient to wiggle and move the fingers D) Petaling the edges of his cast
The client who has had a total hip replacement asks when she will be able to use a regu-lar-height toilet seat. What is the nurse's best response?
A. "As soon as you are able to walk without a limp." B. "As soon as the staples have been removed from the incision." C. "When the pain is gone and you are no longer taking warfarin (Coumadin)." D. "When you can hold your leg straight off the bed 6 inches for 5 full minutes."
When preparing an intravenous infusion the nursing action necessary to prevent air embolism is:
a. maintain sterile technique during setup. b. ensure that electronic infusion pump is set for proper rate and volume. c. prime the tubing of the intravenous administration set. d. ensure that the client has a patent vascular access.